Provider Demographics
NPI:1003478603
Name:HOME SLEEP DIAGNOSTICS INC.
Entity Type:Organization
Organization Name:HOME SLEEP DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-316-1132
Mailing Address - Street 1:200 E PARK DR STE 600
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1297
Mailing Address - Country:US
Mailing Address - Phone:856-316-1204
Mailing Address - Fax:856-793-4923
Practice Address - Street 1:200 E PARK DR STE 600
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1297
Practice Address - Country:US
Practice Address - Phone:856-316-1204
Practice Address - Fax:856-793-4923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic